Individual
CARNITA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 M ST, RIO LINDA, CA 95673-2218
(916) 287-4067
Mailing address
505 M ST, RIO LINDA, CA 95673-2218
(916) 287-4067
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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